Provider Demographics
NPI:1497701999
Name:TAYS, MEREDITH BETHANY (LCSW)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:BETHANY
Last Name:TAYS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 E 59TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-2116
Mailing Address - Country:US
Mailing Address - Phone:816-363-1898
Mailing Address - Fax:816-822-7711
Practice Address - Street 1:2 E 59TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113-2116
Practice Address - Country:US
Practice Address - Phone:816-363-1898
Practice Address - Fax:816-822-7711
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020104381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO31690013OtherBCBSKC PPO